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GOOD SHEPHERD HEALTHCARE LLC NPI 1609348036


NPI Information

NPI: 1609348036
Provider Name: GOOD SHEPHERD HEALTHCARE LLC

Doing Business As: MEDICAL IMAGING AND INTERVENTION

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
9395 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92503
Phone: (714) 801-8878
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GOOD SHEPHERD HEALTHCARE LLC is a diagnostic radiology radiology in Riverside, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GOOD SHEPHERD HEALTHCARE LLC NPI is 1609348036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Imaging And Intervention.

The provider's business location address is:

9395 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92503-747
Phone: (714) 801-8878

The provider's authorized official is Michael Emeel Mousa .
The authorized official title is Founder/owner and has the following contact phone number (714) 801-8878.

The enumeration date for this NPI number is 12/24/2018 and was last updated on 3/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0203XRadiologyTherapeutic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
3261QA1903XClinic/CenterAmbulatory SurgicalNo
4261QR0200XClinic/CenterRadiologyNo
5261QR0206XClinic/CenterRadiology, MammographyNo
6261QR0208XClinic/CenterRadiology, MobileNo
72085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.